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Primary care offers a critical opportunity for early identification, prevention, and management, yet implementation remains limited. Routine screening in early childhood and comprehensive behavioral interventions for overweight or obese children are supported. Prevention strategies include family-based behavior plans, motivational interviewing, nutrition counseling, increased physical activity, and reduced sedentary time, often with multi-component programs. Key adoption barriers—time, training gaps, limited community resources, and maintaining family engagement—are addressed by team-based care, EHR tools, and structured staged treatment.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/childhood-obesity-prevalence-and-prevention-strategies-in-primary-care-a-comprehensive-review/423050/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/childhood-obesity-prevalence-and-prevention-strategies-in-primary-care-a-comprehensive-review/423050.png","ImageObject",300,407,{"name":92,"@type":93},"dabgoudw","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is childhood obesity considered a significant public health challenge?","Question",{"text":113,"@type":114},"It is a chronic, multifactorial condition associated with major metabolic, cardiovascular, and psychosocial complications that often persist into adulthood.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What does the review recommend for obesity prevention in primary care?",{"text":118,"@type":114},"Use routine screening from early childhood and implement prevention approaches such as family-based behavioral strategies, motivational interviewing, nutrition-focused counseling, promoting regular physical activity, and reducing sedentary behaviors.",{"name":120,"@type":111,"acceptedAnswer":121},"What challenges do primary care providers face when managing childhood obesity?",{"text":122,"@type":114},"Providers report time limitations, insufficient training, lack of community resources, and difficulty maintaining family engagement, which can limit consistent implementation of recommended interventions.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},423050,1790765931,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":41,"preview_page_count":4},3985747860484,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Review began 11/11/2025  \nReview ended 11/24/2025  \nPublished 12/04/2025  \n© Copyright 2025  \nGunasekaran et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CCBY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.98456  \nOpen Access Review Article  \nChildhood Obesity Prevalence and Prevention Strategies in Primary Care: A Comprehensive Review  \nVignesh Gunasekaran 1, Vishali Kapoor 2, Venkata Sushma Chamarthi 3  \n1. Neonatology, West Virginia University (WVU) Medicine-Berkeley Medical Center, Martinsburg, USA 2. Pediatrics, California Health Sciences University College of Osteopathic Medicine, Clovis, USA 3. Pediatrics, Valley Children 's Healthcare, Madera, USA  \nCorresponding author: Vignesh Gunasekaran, [vignesh.gunasekaran@hsc.wvu.edu](vignesh.gunasekaran@hsc.wvu.edu)  \nAbstract  \nChildhood obesity has become one of the most significant public health challenges ofthe modern era. This chronic and multifactorial condition contributes to numerous metabolic, cardiovascular, and psychosocial complications, many of which extend into adulthood. The primary care setting provides a key opportunity for early identification, prevention, and management, but remains underutilized in practice. Evidence supports routine screening from early childhood, accompanied by comprehensive behavioral interventions for children identified as overweight or obese. Effective prevention approaches in primary care include family-based behavioral strategies, motivational interviewing (MI), nutrition-focused counseling, promotion of regular physical activity, and reduction of sedentary behaviors. Multi-component interventions delivered over an extended period tend to produce the most meaningful improvements in weight-related outcomes. Despite these advances, primary care providers continue to face challenges such as time limitations, inadequate training, lack of community resources, and difficulties maintaining family engagement. Integrating team-based care, leveraging electronic health record (EHR) tools, and following structured, staged treatment models can enhance implementation. This review highlights current approaches to childhood obesity prevention and management in primary care and offers practical strategies to support clinicians in addressing this ongoing epidemic.  \nCategories: Nutrition, Epidemiology/Public Health, Pediatrics  \nKeywords: behavioural interventions, body mass index: bmi, \\#childhood obesity, family-based therapy, prevention strategies, primary care medicine  \nIntroduction And Background  \nChildhood obesity represents one of the most significant public health crises of our generation, characterized by excessive accumulation of body fat that adversely affects a child 's health and well-being [1] . Childhood obesity, defined as a child 's BMI meeting or exceeding the 95th percentile on age-and sexadjusted CDC growth reference charts, has attained epidemic status globally [2] . In the United States, approximately 14.7 million children and adolescents aged 2-19 years are affected by obesity, representing 19. 7% of this population [3,4] . According to 2022 data from the WHO, the global burden includes approximately 390 million young people aged 5-19 years with overweight status, including 160 million who meet obesity criteria [5] .  \nThe consequences of childhood obesity extend far beyond childhood, with obese children having a significantly elevated risk of remaining obese into adulthood and developing serious comorbidities including type 2 diabetes mellitus, cardiovascular disease, hypertension, dyslipidemia, non-alcoholic fatty liver disease, sleep apnea, orthopedic complications, and psychosocial difficulties [6] . The economic burden is staggering, with estimated annual medical costs of childhood obesity in the United States exceeding $14 billion, and projectio","cbCaiqIjgr9FiGI6","https://ap.wps.com/l/cbCaiqIjgr9FiGI6","pdf",2238749,12,"English","# Abstract\n# Introduction And Background\n## Global and US prevalence\n## Health consequences and economic burden\n## Role of primary care and guideline recommendations\n## Barriers to implementation in primary care\n## Purpose and scope of the review","[{\"question\":\"Why is childhood obesity considered a significant public health challenge?\",\"answer\":\"It is a chronic, multifactorial condition associated with major metabolic, cardiovascular, and psychosocial complications that often persist into adulthood.\"},{\"question\":\"What does the review recommend for obesity prevention in primary care?\",\"answer\":\"Use routine screening from early childhood and implement prevention approaches such as family-based behavioral strategies, motivational interviewing, nutrition-focused counseling, promoting regular physical activity, and reducing sedentary behaviors.\"},{\"question\":\"What challenges do primary care providers face when managing childhood obesity?\",\"answer\":\"Providers report time limitations, insufficient training, lack of community resources, and difficulty maintaining family engagement, which can limit consistent implementation of recommended interventions.\"}]","Childhood Obesity Prevalence and Prevention Strategies in Primary Care - A Comprehensive Review | PDF",1790629942]